Cameron County Children’s Advocacy Centers, Inc.

Monica’s House & Maggie’s House

P.O. Box 2145 * San Benito, Texas 78586

Tel. (956) 361-3313 * Fax (956) 361-3393

Tel. (956) 986-2770 * Fax (956) 986-2708

Volunteer Application

REQUIREMENTS

  1. Fill out volunteer application.
  2. Bring three (3) reference letters from non-family members.
  3. A background check will be conducted by the Center’s Administration known as the Central Registry Check.

Personal Information

Name ______

Address ______

City, State, Zip Code ______

Tel. (home) ______Work ______

Do you have children? Names and ages: ______

Are you currently employed? ______Yes______No

Place of employment ______

Which language do you speak fluently? ______English______Spanish ______Other

Texas Driver’s License # ______Other Driver’s License ______

Driver’s License Expiration Date ______

Automobile Liability Insurance Carrier ______

Do you have access to an automobile you can use for volunteer work?

______Yes______No______Occasionally

VOLUNTEER EXPERIENCE

List any volunteer experience (give names of organization and dates involved). ______

______

Why do you want to become a volunteer? ______

______

What do you feel are your strengths and weaknesses? ______

______

In which areas would you like to participate?

__ Clerical/Office work__ Housekeeping__ Yard Work__ Computer Work__ Grant Reporting

What days/hours are you available to volunteer: ______

How did you learn about our program?

______Professor ______Friend ______Newspaper Article ______Other

Are you currently attending school? ______Yes______No

Name of school ______

Are you volunteering for class credit? ______Yes______No

Name of class/instructor ______

Do you have experience with children? List ages and type of activity: ______

______

Have you worked with these children as a volunteer or a professional? Explain: ______

______

Do you have experience with the following? Child abuse, Foster care, Adult or Juvenile Probation, Other social agencies. If so, please explain. ______

______

COMMUNITY INVOLVEMENT

Present memberships in clubs or organizations, including any office or responsibility. ______

______

Do you have a police record? ______Yes______No

If yes, please explain: ______

______

Emergency Contact

Name ______Relation ______

Tel. (home) ______(work) ______

Physician: ______Physician’s Tel. ______

References

I understand that the Children’s AdvocacyCenter will contact my references to obtain information regarding my suitability to work with children and families. All of the information on this application is accurate to the best of my knowledge. I agree to take any orientation training offered for the volunteer position(s) that I have highlighted on this application. I understand that a criminal history records information background check can be conducted and that I will be unable to volunteer until the check has been completed.

Signature ______Date ______